Hyperglycemia in the Perioperative Period

Author:

Shuford Rebecca1,Miller-Ocuin Jennifer L.2

Affiliation:

1. Department of Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, North Carolina

2. Division of Colorectal Surgery, Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio

Abstract

AbstractPerioperative hyperglycemia is a risk factor in surgical patients. Complications, including infection and mortality, are associated with hyperglycemia in both diabetic and nondiabetic patients. Stress hyperglycemia results in a state of insulin resistance. Insulin administration has been shown to reduce the complications associated with hyperglycemia. Glycemic targets provide goals for individualized treatment of hyperglycemia in surgical patients in the preoperative, intraoperative, and postoperative periods.

Publisher

Georg Thieme Verlag KG

Subject

Gastroenterology,Surgery

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